Redwood Smiles

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

100398 Issued in CA

Legal business name

REDWOOD SMILES

Practice address

160 Birch St
Redwood City, CA 94062-1307

Phone

(650) 369-3695

NPI assigned

Mar 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keerthi Golla, DMD

Title

Dentist

Phone

(650) 369-3695

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra V Kahn, DDS,MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redwood City, CA
  • NPI 1831152933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1477085603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340129",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958340129",
            "telephone_number": "916-419-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BIRCH ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621307",
            "telephone_number": "650-369-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "GOLLA",
        "authorized_official_first_name": "KEERTHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-369-3695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "100398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "100398",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Redwood City Endoscopy Suite LP
• Redwood City School District
• Redwood Pulmonary Medical Associates a Medical Corporation
• Redwood Shores Chiropractic
• Redwood Shores Dental Care
• Brian L Reed
• Colin B. Reed, MD
• Rebecca Grace Reeder, MS
• Estee Reeves, M.A. CCC-SLP
• Evelyn Arevalo Rehfeld, R . N.

• Pediatric Dentistry in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.